| NPI | 1821068537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATISH KUMAR CHAM Owner 313-563-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301040701) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301040701) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-08-22 |